Investigation of Outpatient PUlmonary REhabilitation in Patients Suffering From Post-PE Syndrome: a Randomized Waitlist-controlled Trial - the PURE-PE Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pulmonary Embolism
- Sponsor
- Medical University of Vienna
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- 6-Minute Walk Test
- Status
- Recruiting
- Last Updated
- 7 months ago
Overview
Brief Summary
This study is a multicenter, parallel, randomized waitlist-controlled trial that primarily focuses on the short-term benefit of outpatient pulmonary rehabilitation (PR) on patients after acute pulmonary embolism.
Patients will be randomized into an intervention and a control group. The intervention group will receive 6 weeks of outpatient PR, while patients in the other treatment arm will serve as a control. After completion of the randomized study, the second arm will undergo PR as well.
Investigators
Stephan Nopp
Principal investigator
Medical University of Vienna
Eligibility Criteria
Inclusion Criteria
- •Post-PE syndrome (except patients previously diagnosed with CTEPH) diagnosed by any of the following:
- •Post-PE functional impairment criteria
- •Post-PE Cardiac Impairment criteria
- •Chronic Thromboembolic Disease criteria
- •Possibility of starting rehabilitation between 12 and 36 weeks after the initial event of PE
Exclusion Criteria
- •CTEPH diagnosis
- •Chronic pulmonary diseases: COPD, interstitial lung diseases, asthma (only patients with severe asthma defined as a FEV1 ≤ 80% will be excluded), a statement on COVID-19 was amended due to the pandemic #
- •Active cancer
- •Pregnancy
- •Myocardial infarction or cardiac surgery one year prior to inclusion
- •Congenital heart disease, congestive heart failure
- •History of stroke
- •Any previous inpatient or outpatient PR
- •Additional criteria that are absolute contraindications for pulmonary rehabilitation
- •Acute and decompensated disease states with severe functional restrictions of various organ systems (e.g. heart, kidney and liver insufficiency, unstable angina pectoris, hemodynamically unstable arrhythmias, acute spinal cord injury, untreated hormonal disorders, acute psychological disorders)
Outcomes
Primary Outcomes
6-Minute Walk Test
Time Frame: within the 6-week study period
change of walking distance covered within 6 minutes before and after the intervention/control period, measured in meters
Secondary Outcomes
- One-repetition maximum for lower extremities(within the 6-week study period)
- Maximal workload(within the 6-week study period)
- Maximal inspiratory muscle pressure(within the 6-week study period)
- One-repetition maximum for upper extremities(within the 6-week study period)
- peak oxygen consumption(within the 6-week study period)
- Inspiratory muscle endurance(within the 6-week study period)
- Level of dyspnea(within the 6-week study period)
- Health related quality of life(within the 6-week study period)
- Disease related quality of life(within the 6-week study period)
- Anxiety and depression(within the 6-week study period)
- Functional limitations(within the 6-week study period)
- Functional status(within the 6-week study period)